What should I do if a B-ultrasound reveals ureteral dilation due to stones?
Disease description:
During my B-ultrasound examination, I was found to have ureteral dilation due to stones. What should I do about this condition?
Doctor's answer (1)
Dr. Luo Yong
Ultrasound detection of ureteral dilation due to kidney stones can be treated using the following methods:
1. Small diameter: Stones with a diameter less than 5mm can be managed conservatively, including increased fluid intake, moderate exercise, and the use of analgesic and antispasmodic medications to facilitate spontaneous stone passage. Medications such as stone-expelling drugs, along with adequate hydration and appropriate physical activity, may also be used.
2. Moderately larger diameter: Stones measuring between 5-20mm in diameter, or those unresponsive to medication, may require minimally invasive surgical procedures such as extracorporeal shock wave lithotripsy, ureteroscopic lithotripsy, or percutaneous nephrolithotomy.
3. Large and complex stones: Complex stones or stones larger than 20mm in diameter are best treated with open surgery or percutaneous nephrolithotomy. These procedures should be performed in a reputable hospital's urology department to ensure patient safety and treatment effectiveness.
4. Additional considerations: Patients with recurrent urinary tract stones should undergo further evaluation to identify any underlying metabolic abnormalities or infections, allowing for targeted preventive measures.
